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International Travel Training Seminar

International Travel Training Seminar. February 01, 2013. Sponsored By: Department of International Health Center for Global Health Johns Hopkins Travel and Tropical Medicine. Questions About Today’s Topics? . Contact: Anna Kalbarczyk, MPH Program Associate Center for Global Health

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International Travel Training Seminar

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  1. International Travel Training Seminar February 01, 2013 Sponsored By: Department of International Health Center for Global Health Johns Hopkins Travel and Tropical Medicine

  2. Questions About Today’s Topics? Contact: Anna Kalbarczyk, MPH Program Associate Center for Global Health akalbarc@jhsph.edu Clearly state topic in email subject!

  3. Introduction & Tools -Dick Dunning, CGH - Christina Salazar, IH

  4. Travel Training Seminar

  5. Tools to Plan your Trip

  6. Travel Registry

  7. Johns Hopkins Berman Institute of Bioethics • Ethical Challenges in Short-Term Global Health Training • A series of ten cases that may arise during short term training abroad. • Complete before travel http://ethicsandglobalhealth.org/

  8. www.hopkinsglobalhealth.org

  9. Visas Students are responsible for getting their own Visa! • Review the Visa document on CGH page • U.S. State Department Visas Page: http://travel.state.gov/visa/visa_1750.html • Use country-specific embassy instructions • International Students work with embassy of your citizenship

  10. International Health Travel Policy and forms

  11. Health & PREVENTion -Noreen Hynes

  12. PREVENTion

  13. PREVENTion Highlights PREPARE  YOU are Responsible! Risk Assessment • Who? • What? • When? • Where? • Why? • How?

  14. PREVENTion Highlights EDUCATE YOURSELF VACCINES & OTHER TOOLS

  15. EVALUATE NEEDS ASSESSMENT

  16. TRAVEL MEDICINE VISIT PREP

  17. Scholastic Traveler Program International SOS Lawrence Foley Director, Risk Management February 1, 2013

  18. SOS Comprehensive Program Program Features • Medical Services • Security Services • Online Programs February 1, 2013

  19. Global Continuity of Care • 24 Hours / Day - 365 Days / Year • 27 Alarm Centers • 26 Clinics • 1000 SOS Medical Professionals • 4000 Full Time Professionals • Locations in over 70 Countries • Over 170 Remote Site Clinics February 1, 2013 Worldwide reach Human touch

  20. Primary Medical Services • Emergency Medical Evacuations • Medically Supervised Repatriation • Repatriation of Mortal Remains • Transportation of Minor Children • Medical Referrals • Companion Ticket • Emergency & Routine Medical Advice • Online Country Guides (200 countries) February 1, 2013 Worldwide reach Human touch

  21. Personal & Travel Assistance • Legal referrals • Emergency message transmission • Lost document advice and assistance • Assistance with documentation for insurance claims • Compassionate visit or family travel assistance • Emergency personal cash • Return of minors February 1, 2013 Worldwide reach Human touch

  22. Primary Security Services • 24-hour Access to SOS Security Professionals and Online Security Reports (over 200 Countries, Territories, and Islands). • Security Evacuation • Security staff will develop, coordinate and perform evacuations for members to the nearest safe haven. • Crisis Center • Security staff will develop a crisis center and remain in constant contact with members during an emergency in another country or region. February 1, 2013

  23. Security Online • Country Reports • City Guides • Current Situations • Alerts • Warnings • Evacuation Notices • Automatic E-Mails • Travel Tips • Risk Ratings February 1, 2013 Worldwide reach Human touch

  24. Online Country Guides For All Countries: Rich Source of Information: • Standard of care & medical referral • Diseases & vaccinations • Safety Information • Travel Guides (non-medical info) • Print or E-mail reports February 1, 2013

  25. Pre-trip Checklist • Contact primary health insurer • Notify them of International travel • Ask how they process international health claims • Insurance restrictions • How to file a claim • Access ISOS website or Call ISOS to speak to a rep for country specific information • Vaccines, security risks, travel information • Sign up for alerts from ISOS • Create an Emergency Response Plan • Leave travel itinerary, personal contact information, and emergency contact information with JHU department • Input travel information in JHU Travel Registry February 1, 2013

  26. Limitations of services ISOS provides • Medical referrals/evacuations • Primary Health Insurance is first method Payment • May need to make payment with credit card for medical services • In emergency or extenuating medical situations, ISOS can guarantee payment for medical payments with authorization from Risk Management • If payment guarantee is made, student will need to file a claim with health insurance so reimbursement can be made to JHU • Excluded activities • Caving, mountaineering or rock climbing, potholing, skydiving, parachuting, bungee jumping, ballooning, hang gliding, deep sea diving utilizing hard helmet, martial arts, rallying, racing of any kind other than foot February 1, 2013

  27. Questions? February 1, 2013

  28. Case Study Leaders: Pablo Yori Christine George Jongwoo Lee Case Studies The following cases are challenging situations based on real situations experienced by students and/or faculty

  29. Case 1 You are asked to assist your local collaborators with the study design for their health survey. Based on your knowledge of epidemiology you disagree with their selected sampling approach, and feel strongly it will bias their study findings. What do you do?

  30. Case 2 Your responsibilities include organizing, observing, and taking notes during focus group discussions and/or one-on-one interviews. Through this process you hear comments and details from individuals that you find interesting, humorous, unique, fascinating or sad. You want to share your experiences with your friends through a blog you’ve set up to document your internship experience, or through Facebook, Twitter, etc. What do you think is appropriate for social media?

  31. Case 3 You need to go with a co-worker over to the nearby market, about 500m away, and he motions you over to jump on the back of his motorbike. What should you do? What are things you should consider with transportation?

  32. Case 4 You are working with a coworker on regular basis and have developed a good working relationship. She comes to you and informs you that her child needs money urgently for an operation that can only be done in the capital city, and will require resources that would be substantial for her, but manageable for you. Should you give her money or how do you say no? What do you consider?

  33. Case 5 You are working in a town in Africa where you feel fairly safe. You regularly walk across town between offices of your field site and the partner NGO across town. Although you are dressed in accordance with local customs, you get ‘cat calls’ every time you walk across town. Once, a man on a bike follows you for a few blocks and makes kissing noises at you.

  34. Case 6 You are invited out one evening by your coworkers who have varied backgrounds. What are some things to consider when socializing with peers and/or local coworkers?

  35. Case 7 You are told that the program where you are doing your internship will help you find housing.  Once you arrive, it becomes clear that the housing they had in mind costs more than you can afford/had planned on or seems unsafe to you. What are your options?   What can you do before leaving to avoid this sort of situation?

  36. Case 8 You’re doing an internship at a local project office with very few non-locals. The average temperature is 90F and humid and the office has no air conditioning. You are trying to figure out the appropriate clothing for your job. How do you decide what to wear? What might you think about before you travel?

  37. Additional Cases to discussion with your PI/Mentor before travel Ask your PI/Mentor if there are specific non-project considerations you should be aware before travel (i.e. is there an ATM?)

  38. Additional Case 1 You are working on a health survey with a local NGO. Your job is to review the surveys and develop the database for analysis. In doing your job you notice differences in the way teams are collecting and documenting the data. Today you are invited to attend a meeting with the local investigator, IRB members and some members of the Ministry of Health. You feel you have information they should know. • What is appropriate interaction for a student in higher level meetings?

  39. Additional Case 2 You get off the plane and report to your field site. You were told that your housing and meal expenses would be covered by the project so you didn’t bring much cash with you. You convert to local currency and then find out that expenses are reimbursed, not paid directly. • How could this happen? • You need to eat. What can you do in this situation?

  40. Additional Case 3 You’ve worked on a daily basis with a coworker for the past six months and have developed a good working relationship. She comes to work one morning with a bruised eye, and says she needs money so that she can leave her husband who has been beating her. • How might you respond? • What are your options? • Do you lend her money?

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